Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.18505
Donald Frey
{"title":"You Say You Want To End Abortion","authors":"Donald Frey","doi":"10.17161/rrnmf.v3i3.18505","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.18505","url":null,"abstract":"","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124947503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.17930
Yuebing Li, Zachary McKee
Nervous system involvement affects up to one-third of patients with lymphoma, via a variety of mechanisms ranging from direct invasion, to demyelination, paraneoplastic processes, and treatment related complications. Nervous system involvement can manifest at any location and occur at any stage of lymphoma, often resulting in distinct and atypical patterns. Here we describe three patients, presenting each with motor predominant polyradiculoneuropathy and cranial neuropathy, transient encephalitis, and frontal gait dysfunction. Through further workup, all were diagnosed with lymphoma, with their neurological manifestations directly or indirectly related to the underlying lymphoma. Our study serves as an alert that in patients presenting with unusual neurological symptoms, lymphoma should be a consideration on the differential diagnosis.
{"title":"Unusual neurological presentations resulting in diagnosis of lymphoma in three patients","authors":"Yuebing Li, Zachary McKee","doi":"10.17161/rrnmf.v3i3.17930","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.17930","url":null,"abstract":"Nervous system involvement affects up to one-third of patients with lymphoma, via a variety of mechanisms ranging from direct invasion, to demyelination, paraneoplastic processes, and treatment related complications. Nervous system involvement can manifest at any location and occur at any stage of lymphoma, often resulting in distinct and atypical patterns. Here we describe three patients, presenting each with motor predominant polyradiculoneuropathy and cranial neuropathy, transient encephalitis, and frontal gait dysfunction. Through further workup, all were diagnosed with lymphoma, with their neurological manifestations directly or indirectly related to the underlying lymphoma. Our study serves as an alert that in patients presenting with unusual neurological symptoms, lymphoma should be a consideration on the differential diagnosis. ","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126413999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.16318
S. Wright, S. Brady
Exertional rhabdomyolysis is typically associated with metabolic or mitochondrial myopathies; however, there are important causes such as muscular dystrophies. Herein we describe a case of recurrent exertional rhabdomyolysis in which the diagnosis of RYR1 associated disease was made on clinical presentation avoiding the need for extensive or invasive investigation.
{"title":"Recurrent rhabdomyolysis and an autosomal dominant family history of scoliosis: clinical features leading to a diagnosis of metabolic myopathy","authors":"S. Wright, S. Brady","doi":"10.17161/rrnmf.v3i3.16318","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.16318","url":null,"abstract":"Exertional rhabdomyolysis is typically associated with metabolic or mitochondrial myopathies; however, there are important causes such as muscular dystrophies. Herein we describe a case of recurrent exertional rhabdomyolysis in which the diagnosis of RYR1 associated disease was made on clinical presentation avoiding the need for extensive or invasive investigation.","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132067696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.18550
V. Authors
{"title":"Abstracts from the 2022 Neuromuscular Study Group Meeting","authors":"V. Authors","doi":"10.17161/rrnmf.v3i3.18550","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.18550","url":null,"abstract":"","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130047712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.16336
Joshua Freeman
{"title":"Why do we have to wait so long to see the doctor? It's all about the money...","authors":"Joshua Freeman","doi":"10.17161/rrnmf.v3i3.16336","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.16336","url":null,"abstract":"","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123211127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.18465
Vernon D. Rowe
{"title":"Thanks, David Ray","authors":"Vernon D. Rowe","doi":"10.17161/rrnmf.v3i3.18465","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.18465","url":null,"abstract":"","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"58 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122973668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.17161/rrnmf.v3i3.16504
Joshua Freeman
{"title":"Direct Contracting Entities: Scamming Medicare and you and bad for your health!","authors":"Joshua Freeman","doi":"10.17161/rrnmf.v3i3.16504","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.16504","url":null,"abstract":"","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129748460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.17161/rrnmf.v3i3.19210
Contributing Authors
{"title":"Proceedings of the 2022 Neuromuscular Study Group Meeting","authors":"Contributing Authors","doi":"10.17161/rrnmf.v3i3.19210","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i3.19210","url":null,"abstract":"","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"298 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124279947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.17161/rrnmf.v3i2.16254
Amer Avdagic, Tejas Mehta, Krista Schoff, Raghav Govindarajan
BACKGROUND: Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological disorder that leads to demyelination of peripheral nerves presenting with an array of symptoms. Symptoms of CIDP include but are not limited to loss of sensation, loss of reflexes, tingling and pain, and weakness. European Federation Neurological Society (EFNS) has developed guidelines for the diagnosis of this disorder. The objective of this study is to look at the relationship between the EFNS diagnostic criteria and whether patients that have the diagnosis of CIDP met this criteria. Data collection was completed on the patients diagnosed with CIDP and then the patients that were diagnosed but did not meet the criteria were analyzed to see what common outliers exist that led to the diagnosis. RESULTS: A total of 20 patients (13 males and 7 females) were included in the study. Eighty-three percent of patients that were correctly diagnosed using the EFNS/PNS guidelines displayed hyporeflexia at the time of their diagnosis. A large majority of the patients (83%) correctly diagnosed using the EFNS/PNS guidelines displayed distal weakness at the time of their diagnosis. At the time of their diagnosis, EMG showed that majority of those who did not meet the EFNS/PNS criteria had no nerves that displayed increased latency. Fifty-eight percent of those who did meet the criteria outlined by the EFNS/PNS guidelines had two or more nerves that presented with increased latency. Testing the velocity of patients displayed that all of the patients that did not meet the EFNS/PNS criteria did not present with nerves that had diminished velocity. CONCLUSION: CIDP misdiagnosis continues to be an issue leading to mismanagement of these patients. This study showed a preference of the clinical component for diagnosis of CIDP even if electrophysiological criteria was not met.
{"title":"Factors Influencing the Diagnosis of Chronic Inflammatory Demyelinating","authors":"Amer Avdagic, Tejas Mehta, Krista Schoff, Raghav Govindarajan","doi":"10.17161/rrnmf.v3i2.16254","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i2.16254","url":null,"abstract":"BACKGROUND: Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological disorder that leads to demyelination of peripheral nerves presenting with an array of symptoms. Symptoms of CIDP include but are not limited to loss of sensation, loss of reflexes, tingling and pain, and weakness. European Federation Neurological Society (EFNS) has developed guidelines for the diagnosis of this disorder. The objective of this study is to look at the relationship between the EFNS diagnostic criteria and whether patients that have the diagnosis of CIDP met this criteria. Data collection was completed on the patients diagnosed with CIDP and then the patients that were diagnosed but did not meet the criteria were analyzed to see what common outliers exist that led to the diagnosis. \u0000 \u0000RESULTS: A total of 20 patients (13 males and 7 females) were included in the study. Eighty-three percent of patients that were correctly diagnosed using the EFNS/PNS guidelines displayed hyporeflexia at the time of their diagnosis. A large majority of the patients (83%) correctly diagnosed using the EFNS/PNS guidelines displayed distal weakness at the time of their diagnosis. At the time of their diagnosis, EMG showed that majority of those who did not meet the EFNS/PNS criteria had no nerves that displayed increased latency. Fifty-eight percent of those who did meet the criteria outlined by the EFNS/PNS guidelines had two or more nerves that presented with increased latency. Testing the velocity of patients displayed that all of the patients that did not meet the EFNS/PNS criteria did not present with nerves that had diminished velocity. \u0000 \u0000CONCLUSION: CIDP misdiagnosis continues to be an issue leading to mismanagement of these patients. This study showed a preference of the clinical component for diagnosis of CIDP even if electrophysiological criteria was not met.","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114381441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.17161/rrnmf.v3i2.15909
Molly Shipman, Raghav Govindarajan
Iliac artery aneurysms are usually asymptomatic and can manifest symptoms only when there is compression, erosion, or trauma present. We report an internal iliac artery aneurysm causing lumbosacral plexopathy developed post hernia repair surgery presenting with right lower limb weakness and numbness. Through imaging and physical exam, traction injury and ischemic processes were ruled out as potential causes of the right lower limb weakness and neuropathy. In patients with unexplained lower extremity weakness and numbness, an iliac artery aneurysm compressing the lumbosacral plexus should be considered and further imaging of the pelvis to look for compressive etiologies of the plexus can be done.
{"title":"Lumbosacral plexopathy secondary to internal iliac artery aneurysm: case report and review of literature","authors":"Molly Shipman, Raghav Govindarajan","doi":"10.17161/rrnmf.v3i2.15909","DOIUrl":"https://doi.org/10.17161/rrnmf.v3i2.15909","url":null,"abstract":"Iliac artery aneurysms are usually asymptomatic and can manifest symptoms only when there is compression, erosion, or trauma present. We report an internal iliac artery aneurysm causing lumbosacral plexopathy developed post hernia repair surgery presenting with right lower limb weakness and numbness. Through imaging and physical exam, traction injury and ischemic processes were ruled out as potential causes of the right lower limb weakness and neuropathy. In patients with unexplained lower extremity weakness and numbness, an iliac artery aneurysm compressing the lumbosacral plexus should be considered and further imaging of the pelvis to look for compressive etiologies of the plexus can be done.","PeriodicalId":309700,"journal":{"name":"RRNMF Neuromuscular Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121168010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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